Kana mumwe munhu aizokubvunza chii chinokuchengetedza kubva mukudzidzira kana une COPD , mikana iwe ungati dyspnea (inowanzonzi kufema). Mune COPD, dyspnea uye musikana kuneta ndeyokudzivirira kwekutanga kutanga chirongwa chekuvhiya . Izvo zvinosuruvarisa nokuti nzira yakanakisisa yekuvandudza masimba ekunyanyisa uye kuderedza kufema muCOPD ndeyokuita nguva dzose.
Saka, iwe unokwanisa sei kushandura kana mishonga yako ichikanda uye iwe haugoni kubata mweya wako?
Kunyangwe iwe uchifanira kugara uchitarisa nachiremba wako usati waita chero ipi yeipi nzira dzakanyorwa pasi apa, mazano anotevera angakubatsira iwe kushandisa nguva refu uye unoderedza kufema panguva yekurovedza muviri:
Kwete-Inopindira Chinhu Chinofurira Kuvhara Mhepo
Kunyange zvazvo zvisingabatsiri, zvidzidzo zvakaratidza kuti vanhu vanoita nguva dzose vachishandisa vasingasviki vemaine ventilation yakaoma (NIPPV) vanogona kunge vane ruzivo rwakapfurikidza kune avo vasingaiti. Kwete NIPPV chete inobvumira varwere veCOPD kushandisa nguva yakareba, asi vanogona kusvika kune rimwe basa rinorema panguva dzezviitiko zvekudzidzira kupfuura apo kana vasingashandisi. Tariro, kufambira mberi mune teknolojia yezvokurapa kuchaita kuti okisijeni iendeswe zvakanyanya kunyaradzwa munguva yeNIPPV, panzvimbo pane yakasimba-yakakodzera masal mask.
Kushandisa NIPPV usiku kungava mhinduro yakanyanyobatsira.
Zvidzidzo zvinoratidza kuti kana ichibatanidzwa nemapurmonary rehabilitation, varwere vanoshandisa masikati neNIPPV vanoratidza kuvandudzwa mumutambo wekufamba kwemaminitsi matanhatu , FEV1 , simba rekurwisa hyperinflation uye arterial blood gases . Varwere vanogonawo kuona kuvandudzwa kwehuviri hwavo, hutano hwavo, utano hwepfungwa, uye hutano.
Kugadzirisa Kwemagetsi
Vachirwere veCOPD avo vakachengetedza musimba simba uye musimba basa vanogona kubatsirwa nepamusoro-kuru neuromuscular magetsi stimulation (hf-NMES). Zvidzidzo zvinoratidza kuti inovandudza masimba ekurovedza muviri nekubvumira varwere kubvumira huwandu hwakanyanya hwekudzidzira muviri. Inogonawo kuwedzera kufema.
Nzira yakanakisisa yekusangana neHf-NMES ndeyokushandisa iyo isati yaparara (inowanikwa muCOPD yakapfuura) inowanikwa, kunyange ingave yakakosha kune varwere avo vakaremara zvakanyanya nekudzivisa dyspnea, zvakare.
Kukurudzira magetsi kunogona kushandiswa mumusha, kana sechikamu chepurogiramu yakagadziriswa, yekugadzirisa mapapmona.
Oxygen Supplementation
Chimwe chidzidzo chakabudiswa muTrara chinoratidza kuti kuwedzera oxygen panguva yekurovedza muviri kunopa chete rubatsiro ruduku kubva kuDyspnea uye haruiti zvishoma kuderedza kushandiswa kwemishonga kushivirira muCOPD. Zvisinei, zvidzidzo zvinotevera zvinoratidza kuti zvinogona kuvandudza kupedza muviri kushingaira, kuderedza pfungwa ye dyspnea uye kuderedza mapapu hyperinflation kune varwere vane chirwere chinowanikwa mumhepo.
Icho chiri kupfuurira kufungidzira pamusoro pokuti nzira yekuendesa - nasal cannula kana transtracheal - inonyanya kunaka panguva yekurovedza muviri. Kutsvakurudza kunotsigira kushandiswa kwemutauro wekutengesa kunenge kusina nguva; asi, vatsigiri ve-transtracheal oxygen delivery vanotenda kuti inoshanda zvakanaka.
Kuvandudza Pulmonary
Kugadziriswa kwepulmonary chikamu chinokosha chekurapa kweCOPD uye inokurudzirwa kuvarwere vose vari mumwero wakaenzana kusvika kumatanho akaoma eCOPD. Kugadziriswa kwepulmonary kunogona kubatsira varwere veCOPD :
- Kuvandudza kubhizimisa kushivirira
- Kuderedza kufema
- Kuvandudza hupenyu hwehupenyu
- Kuderedza nguva yekurapa uye yekurapa
- Deredza kunetseka uye kuora mwoyo
- Kuvandudza simba remabasa
- Kuvandudza simba rekufuridzira musimba (kana rinosanganiswa nehuwandu hwemabasa)
Mishonga
Kune huwandu hwemishonga inowanika iyo yakaratidzwa kuvandudza kushandiswa kwekudzivirira uye kuderedza kushanda-kunokonzera kufema muCOPD.
Kunyanya kudzidza zvakanyanya ndeikuti:
- Albuterol - Chimwe chezvinhu zvinokonzerwa neCOPD kuderedza kubuda kwemhepo. Dynamic hyperinflation inokonzera kukanganisa kwemhepo panguva yekurovedza muCOPD uye chinhu chinonyanya kubatsira pakufema. Kutsvakurudza kunoratidza kuti inhaled albuterol, shoma-acting beta agonist, inoderedza kushandiswa kwezvokuita-kushandiswa kwehutachiona hwehutano uye hunovandudza mamwe mabasa anokosha epfungwa.
- Spiriva - Yakasanganiswa nemapurmonary rehabilitation, the anticholinergic bronchodilator Spiriva (tiotropium) inovandudza kurovedza kutsungirira, kufema, uye hutano hunoenzanisa nekushandiswa kwemapurmonary rehabilitation chete.
- Salmeterol - Salmeterol, a long-acting beta agonist, inovandudza kufema panguva yekurovedza asi haisi kuwedzera nguva yekuita.
- Nebulized ipratropium bromide - Kuenzaniswa ne placebo, nebulized ipratropium bromide (an anticholinergic) inowedzera kuedzidzira kutsungirira nguva, inoderedza dyspnea uye inoderedza simba rekushaya ropa. Uyezve, mushure mekushandisa ipratropium bromide, varwere mune zvidzidzo zvemakiriniki vakaratidza kuwedzera kweFiV1, FVC uye kukurudzira simba (iyo yakawanda yemhepo inogona kuvhiringidzika mushure mekunyorwa kwemazuva ose).
Interval Training
Penguva yekudzidziswa mukati, murwere anodzokorora kurongeka kwekunyanya-simba kwekudzidzira kunoiswa mukati mekuedza muviri (yakawanda inodzidzwa muCOPD) kana kuti zororo. Nharaunda yekudzidziswa muCOPD inoguma mune maitiro akanaka ekurovedza kune vamwe varwere uye inowanzoshandiswa sechikamu chepurogiramu yekudzorera mapurmoni.
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